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Adults aged 65 and over who are homebound due to complex physical, cognitive and/or psychiatric conditions may be eligible for a comprehensive geriatric assessment and treatment plan from the Integrated Community Care Team (ICCT) at Baycrest.

Our specialized geriatric outreach team focuses on using existing neighbourhood resources that can improve the patient's quality of care at home and support both family and professional caregivers.

ICCT brings together existing primary, community, speciality and acute care resources into one team to care for the most complex clients.

Three streams are available for our clients:

  • Consultation: ICCT will conduct a comprehensive assessment for medically complex patients and provide recommendations to the referring provider
  • Shared Care: ICCT will share the primary care with a medically complex patients' family physician
  • Primary Care: ICCT will assume primary care for homebound people who do not have a family doctor
  • When to Contact Us:
    It may be time to seek a referral to our service for the homebound person due to:
    • An increasing number of visits to the family physician
    • Multiple hospital admissions
    • Multiple visits to the emergency department
    • Escalating home care needs
    • Recent or unexplained changes in physical, mental or functional abilities
    • Recent worsening of falls, mobility, incontinence or dementia
  • The ICCT Team
    We bring together existing primary, community, specialist and acute care resources into one team. These include: 
    • Geriatricians 
    • Physicians with a focus on care of the elderly 
    • Nurse practitioner 
    • Registered nurses 
    • Occupational therapist 
    • Physiotherapist 
    • Social worker 
    • TC-LHIN Home and Community Care intensive care co-ordinator 

Area We Serve

Our catchment area is from Keele Street to Yonge Street, and from Steeles Avenue to St. Clair Avenue.

Making a Referral

Referrals are made by contacting the secretary.
Please right-click the form link to save it to your computer.

Referral form.

Fax number: 416-785-2409

View the ICCT Brochure.